A facility need not first consult with the resident or the resident's physician when there is a situation described below. Choose the situation in which consultation is not required.

The medical director declined to take responsibility for monitoring and ensuring implementation of resident care policies, stating this was too time‑consuming. The administrator would be well advised to select the best course of action.

To save expenses, the director of nursing has determined that drug records are in order and that all controlled drugs are accounted for. According to federal requirements, the administrator should select the most appropriate action.

Permitting a resident, whose physician permits drugs judged unnecessary but demanded by the resident, to continue to take unnecessary drugs is best characterized by which statement?

New facilities certified under Final Rules must meet the applicable provisions of which standard or organization?

Plan D, implemented in 2006, was intended to ________. (See Federal Requirements App. P and PP.) (p. 348)

An individual who can prove that he or she recently successfully completed a training and competency evaluation program, but who is not actually registered in the required registry ______ as a nurse's aide. (See Federal Requirements App. P and PP.) (p. 545)

Responsibility for determining whether the nurse's aide training and competency evaluation requirements are met in a facility falls to the ______. (See Federal Requirements App. P and PP.) (p. 545)

The owner of a facility providing nearly the best nurse's aide training and competency evaluation program in the state declines to permit an unannounced visit by the state. The state will ____. (See Federal Requirements App. P and PP.) (p. 545)

The required curriculum for a nurse's aide training program does not have to include ____. (See Federal Requirements App. P and PP.) (p. 545)

Candidates for nurse's aide competency evaluation are normally examined by ___. (See Federal Requirements App. P and PP.) (p. 545)

Under federal guidelines, a candidate for nurse's aide registration has _____ chances to take the evaluation. (See Federal Requirements App. P and PP.) (p. 545)

A finding by the state survey agency of abuse or neglect by a nurse's aide remains recorded in the nurse's aide registry ________. (See Federal Requirements App. P and PP.) (p. 547)

Ensuring that nurse's aides are able to demonstrate competency in skills and techniques necessary to care for residents' needs is the responsibility of ____. (See Federal Requirements App. P and PP.) (p. 545)

Under Final Rules, routine and emergency dental services are ____. (See Federal Requirements App. P and PP.) (p. 578)

The director of nursing mentions to the administrator that although Ms. Brown had no significant change in her physical or mental condition on readmission, a full comprehensive assessment was completed within 5 days of her return. The administrator might feel ___. (p. 579)

To stretch resources, the care planning team decides to conduct comprehensive assessments on the healthiest patients every 15 months. The administrator should feel ___. (p. 579)

Standards of quality for care given in the nursing facility ___. (p. 581)

The nurse on duty has informed Ms. Brown that Ms. Brown must make arrangements for transportation to her audiologist. This is ____. (p. 582)

Psychosocial adjustment difficulties ___. (p. 582)

For several months in succession, it is noted in the resident's records that the resident is becoming more withdrawn. The facility ______.

For nasogastrically fed patients, the facility program is to provide treatment and services to prevent aspiration, pneumonia, diarrhea, vomiting, dehydration, and metabolic abnormalities. This is ______.

Ms. Green has been shouting incoherently at nearby residents. Her physician prescribes an antipsychotic drug to calm her down. This ______.

The facility must provide a separate, locked, permanently affixed compartment for storage of controlled drugs listed in Schedule ______ of the Drug Act.

Controlled drugs listed in Schedule I of the Comprehensive Drug Abuse Act of 1970 are ______.

The administrator's policy is to discard all clinical records after 10 years. This policy is ______.

The Resident Assessment Instrument is a set of screening, clinical, and functional status elements, which forms the basis for ______.

Specific resident responses for one or a combination of Minimum Data Set (MDS) elements are ______.

The Minimum Data Set (MDS) care planning process can be visualized as: assessment, decision making, and ______.

In planning an annual survey, the surveyor begins with reviewing current government data records on the facility, current complaints, Ombudsman information, and ______.

The surveyors expect information on contact persons for complaints or abuse, a list of ventilator dependent residents, a list of residents on hospice, and a list of dialysis patients within ______ of entering a facility for survey.

The administrator can expect surveyors to generate ______ lists of residents to be interviewed.

As a matter of policy, at the Exit Conference, ______ is(are) invited to attend.

If a facility's plan of correction is found unacceptable, ______.

Normally a plan of correction ______.

Hoping to delay an enforcement action, the administrator asks for an Informal Dispute Resolution. The administrator ______.

A finding by surveyors that in both wings of the facility, the water to resident rooms and baths is 8 degrees above the upper temperature limit, but that no one had yet been burned would result in a deficiency characterized as ___

The Centers for Medicare and Medicaid's goal is to reimburse based on how much ___ is required to care for each patient each month

There are ___ levels and types of care for reimbursing nursing facility care given

The Minimum Data Set (MDS) contains items that reflect the ___ of the resident

The Medicare-required assessments provide information about the clinical condition of beneficiaries. These assessments ___

Readmission/return assessment, start of therapy, and end of therapy are ___

The Resource Utilization Group (RUG)-IV classification system has ___ major categories

The scheduled Prospective Payment System assessments (performed around days 5, 14, 30, 60, and 90) establish ___ for associated standard payment periods

The activities of daily living (ADL) score is based on the following ADLs: ___

A cancer patient receiving intensive therapies may ___

The current long-term health care delivery system is one in which each player seeks to minimize its own costs at the possible expense of ___

How much a facility can charge for care given can be characterized as ___

Establishing transfer and discharge policies according to the source of payment ___ under Final Rules

The goal of the National Health Care Technology coordinator is to have ___ available to all providers, which can lead to improved quality of care at all levels

Typically, the responsibility for safety and disaster preparedness falls to the ___

Although the drugs in the emergency kit are the pharmacist's responsibility, the ____ using the kit must keep records when each item is used and trigger a reorder as needed to keep the kit fully stocked.

To the extent possible, ensuring that the facility reflects the culture, ethnicity, race, sexual orientation, gender, religions, and language of the surrounding community is part of ___.

_____ is defined as separation of a resident from other residents or from his or her roommate or confinement to his or her room (with or without roommates) against the resident's will, or the will of the resident's legal representative.

Ombudspersons — — — — direct enforcement authority, but are typically part of the local government structure where their recommendations can carry weight.

In the typical nursing facility, various maintenance and repair services are typically ___ such as grounds maintenance or HVAC (heating and cooling) services and repair.

_____ is a portable electronic device that automatically diagnoses the life-threatening cardiac arrhythmias of ventricular fibrillation and ventricular tachycardia in a patient, and is able to treat them through defibrillation.

Complaints or accusations of abuse or neglect made by residents or by staff must be ____.

Normally a resident care planning conference is held for each resident at least ___.

Scope and Severity is a system of rating the seriousness of ________.